Provider Demographics
NPI:1548516537
Name:DOSE, MOLLY (MT)
Entity type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:
Last Name:DOSE
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 LEWIS ST S
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379-1446
Mailing Address - Country:US
Mailing Address - Phone:952-233-0742
Mailing Address - Fax:952-233-0744
Practice Address - Street 1:113 LEWIS ST S
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379-1446
Practice Address - Country:US
Practice Address - Phone:952-233-0742
Practice Address - Fax:952-233-0744
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist